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Case 14-19469

Doc 36

Filed 01/13/15

Page 1 of 8

1/13/15 3:41PM

B6B (Official Form 6B) (12/07)

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In re

Kristina L Roberts

Case No.

14-19469

Debtor

SCHEDULE B - PERSONAL PROPERTY - AMENDED


Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place
an "x" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified
with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, both, or the marital community
own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint
petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt.
Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."
If the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as
"A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m).
Type of Property

1.

Cash on hand

2.

Checking, savings or other financial


accounts, certificates of deposit, or
shares in banks, savings and loan,
thrift, building and loan, and
homestead associations, or credit
unions, brokerage houses, or
cooperatives.

3.

Security deposits with public


utilities, telephone companies,
landlords, and others.

4.

Household goods and furnishings,


including audio, video, and
computer equipment.

N
O
N
E

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

Description and Location of Property

X
Checking Capital One

400.00

Savings Capital One

51.00

Money Market with Capital One

8.00

Location: 2500 Old Largo Rd, Upper Marlboro MD


20772

3,500.00

1,500.00

Tables, chairs, beds, computer, kithcen appliances,


TVs
X

5.

Books, pictures and other art


objects, antiques, stamp, coin,
record, tape, compact disc, and
other collections or collectibles.

6.

Wearing apparel.

7.

Furs and jewelry.

8.

Firearms and sports, photographic,


and other hobby equipment.

9.

Interests in insurance policies.


Name insurance company of each
policy and itemize surrender or
refund value of each.

10. Annuities. Itemize and name each


issuer.

Location: 2500 Old Largo Rd, Upper Marlboro MD


20772

Sub-Total >
(Total of this page)
2

5,459.00

continuation sheets attached to the Schedule of Personal Property

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com

Best Case Bankruptcy

Case 14-19469

Doc 36

Filed 01/13/15

Page 2 of 8

1/13/15 3:41PM

B6B (Official Form 6B) (12/07) - Cont.

In re

Kristina L Roberts

Case No.

14-19469

Debtor

SCHEDULE B - PERSONAL PROPERTY - AMENDED


(Continuation Sheet)

Type of Property

11. Interests in an education IRA as


defined in 26 U.S.C. 530(b)(1) or
under a qualified State tuition plan
as defined in 26 U.S.C. 529(b)(1).
Give particulars. (File separately the
record(s) of any such interest(s).
11 U.S.C. 521(c).)

N
O
N
E

Description and Location of Property

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

401K CBS Inc

12. Interests in IRA, ERISA, Keogh, or


other pension or profit sharing
plans. Give particulars.
13. Stock and interests in incorporated
and unincorporated businesses.
Itemize.

14. Interests in partnerships or joint


ventures. Itemize.

15. Government and corporate bonds


and other negotiable and
nonnegotiable instruments.

16. Accounts receivable.

17. Alimony, maintenance, support, and


property settlements to which the
debtor is or may be entitled. Give
particulars.

105,000.00

18. Other liquidated debts owed to debtor X


including tax refunds. Give particulars.
19. Equitable or future interests, life
estates, and rights or powers
exercisable for the benefit of the
debtor other than those listed in
Schedule A - Real Property.

20. Contingent and noncontingent


interests in estate of a decedent,
death benefit plan, life insurance
policy, or trust.

21. Other contingent and unliquidated


claims of every nature, including
tax refunds, counterclaims of the
debtor, and rights to setoff claims.
Give estimated value of each.

Sub-Total >
(Total of this page)

105,000.00

Sheet 1 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com

Best Case Bankruptcy

Case 14-19469

Doc 36

Filed 01/13/15

Page 3 of 8

1/13/15 3:41PM

B6B (Official Form 6B) (12/07) - Cont.

In re

Kristina L Roberts

Case No.

14-19469

Debtor

SCHEDULE B - PERSONAL PROPERTY - AMENDED


(Continuation Sheet)

Type of Property

22. Patents, copyrights, and other


intellectual property. Give
particulars.

N
O
N
E

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

23. Licenses, franchises, and other


general intangibles. Give
particulars.
24. Customer lists or other compilations
containing personally identifiable
information (as defined in 11 U.S.C.
101(41A)) provided to the debtor
by individuals in connection with
obtaining a product or service from
the debtor primarily for personal,
family, or household purposes.

Description and Location of Property

Debtor's interest in "Zane" name

Unknown

2010 Nissan Rogue

10,000.00

25. Automobiles, trucks, trailers, and


other vehicles and accessories.
26. Boats, motors, and accessories.

27. Aircraft and accessories.

28. Office equipment, furnishings, and


supplies.

29. Machinery, fixtures, equipment, and


supplies used in business.

30. Inventory.

31. Animals.

32. Crops - growing or harvested. Give


particulars.

33. Farming equipment and


implements.

34. Farm supplies, chemicals, and feed.

35. Other personal property of any kind


not already listed. Itemize.

Sheet 2 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com

Sub-Total >
(Total of this page)
Total >

10,000.00
120,459.00

(Report also on Summary of Schedules)


Best Case Bankruptcy

Case 14-19469

Doc 36

Filed 01/13/15

Page 4 of 8

1/13/15 3:41PM

Fill in this information to identify your case:


Debtor 1

Kristina L Roberts

Debtor 2
(Spouse, if filing)

United States Bankruptcy Court for the:


Case number

DISTRICT OF MARYLAND
Check if this is:

14-19469

(If known)

An amended filing
A supplement showing post-petition chapter
13 income as of the following date:

Official Form B 6I
Schedule I: Your Income

MM / DD/ YYYY
12/13

Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for
supplying correct information. If you are married and not filing jointly, and your spouse is living with you, include information about your
spouse. If you are separated and your spouse is not filing with you, do not include information about your spouse. If more space is needed,
attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.
Part 1:
1.

Describe Employment

Fill in your employment


information.
If you have more than one job,
attach a separate page with
information about additional
employers.
Include part-time, seasonal, or
self-employed work.
Occupation may include student
or homemaker, if it applies.

Debtor 1
Employment status

Employed

Employed

Not employed

Not employed

Occupation

Author

Employer's name

Simon & Schuster, INC

Employer's address

PO Box 7340
Garden City, NY 11530

How long employed there?


Part 2:

Debtor 2 or non-filing spouse

9yrs

Give Details About Monthly Income

Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing
spouse unless you are separated.
If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need
more space, attach a separate sheet to this form.
For Debtor 1

2.

List monthly gross wages, salary, and commissions (before all payroll
deductions). If not paid monthly, calculate what the monthly wage would be.

2.

4,729.00

3.

Estimate and list monthly overtime pay.

3.

+$

0.00

4.

Calculate gross Income. Add line 2 + line 3.

4.

Official Form B 6I

Schedule I: Your Income

4,729.00

For Debtor 2 or
non-filing spouse
$

N/A

+$

N/A

N/A

page 1

Case 14-19469
Debtor 1

Doc 36

Filed 01/13/15

Kristina L Roberts

Page 5 of 8

Case number (if known)

1/13/15 3:41PM

14-19469

For Debtor 1
Copy line 4 here
5.

4.

4,729.00

For Debtor 2 or
non-filing spouse
$
N/A

5a.
5b.
5c.
5d.
5e.
5f.
5g.
5h.+

$
$
$
$
$
$
$
$

1,334.00
236.00
0.00
0.00
0.00
0.00
0.00
0.00 +

$
$
$
$
$
$
$
$

N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A

List all payroll deductions:


5a.
5b.
5c.
5d.
5e.
5f.
5g.
5h.

Tax, Medicare, and Social Security deductions


Mandatory contributions for retirement plans
Voluntary contributions for retirement plans
Required repayments of retirement fund loans
Insurance
Domestic support obligations
Union dues
Other deductions. Specify:

6.

Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h.

6.

1,570.00

N/A

7.

Calculate total monthly take-home pay. Subtract line 6 from line 4.

7.

3,159.00

N/A

8.

List all other income regularly received:


8a. Net income from rental property and from operating a business,
profession, or farm
Attach a statement for each property and business showing gross
receipts, ordinary and necessary business expenses, and the total
monthly net income.
8b. Interest and dividends
8c. Family support payments that you, a non-filing spouse, or a dependent
regularly receive
Include alimony, spousal support, child support, maintenance, divorce
settlement, and property settlement.
8d. Unemployment compensation
8e. Social Security
8f.
Other government assistance that you regularly receive
Include cash assistance and the value (if known) of any non-cash assistance
that you receive, such as food stamps (benefits under the Supplemental
Nutrition Assistance Program) or housing subsidies.
Specify:
8g. Pension or retirement income

8a.
8b.

$
$

0.00
0.00

$
$

N/A
N/A

8c.
8d.
8e.

$
$
$

0.00
0.00
0.00

$
$
$

N/A
N/A
N/A

8f.
8g.

$
$

0.00
0.00

$
$

N/A
N/A

8h.+ $

13,669.00 + $

N/A

9.

13,669.00

8h.
9.

Other monthly income. Specify:

Enrions Worldwide Payment of


Personal Expense

Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h.

10. Calculate monthly income. Add line 7 + line 9.


Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse.

10. $

16,828.00 + $

N/A
N/A = $

16,828.00

11. State all other regular contributions to the expenses that you list in Schedule J.
Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and
other friends or relatives.
Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J.
Specify:
11. +$

0.00

12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income.
Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it
applies

12.

16,828.00

Combined
monthly income
13. Do you expect an increase or decrease within the year after you file this form?
No.
Yes. Explain:

Official Form B 6I

Schedule I: Your Income

page 2

Case 14-19469

Doc 36

Filed 01/13/15

Page 6 of 8

1/13/15 3:41PM

Fill in this information to identify your case:


Debtor 1

Check if this is:


An amended filing

Kristina L Roberts

Debtor 2
(Spouse, if filing)

A supplement showing post-petition chapter


13 expenses as of the following date:

United States Bankruptcy Court for the:


Case number
(If known)

DISTRICT OF MARYLAND

MM / DD / YYYY
A separate filing for Debtor 2 because Debtor
2 maintains a separate household

14-19469

Official Form B 6J
Schedule J: Your Expenses

12/13

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case
number (if known). Answer every question.
Part 1:
Describe Your Household
1. Is this a joint case?
No. Go to line 2.
Yes. Does Debtor 2 live in a separate household?
No
Yes. Debtor 2 must file a separate Schedule J.
2.

Do you have dependents?

No

Do not list Debtor 1 and


Debtor 2.

Yes.

Fill out this information for


each dependent..............

Do your expenses include


expenses of people other than
yourself and your dependents?

Dependents
age

Does dependent
live with you?

Son

19

Yes
No

Daughter

20

Yes
No
Yes
No
Yes

No

Do not state the


dependents' names.

3.

Dependents relationship to
Debtor 1 or Debtor 2

No
Yes

Part 2:
Estimate Your Ongoing Monthly Expenses
Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report
expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the
applicable date.
Include expenses paid for with non-cash government assistance if you know
the value of such assistance and have included it on Schedule I: Your Income
(Official Form 6I.)
4.

The rental or home ownership expenses for your residence. Include first mortgage
payments and any rent for the ground or lot.

Your expenses

4. $

3,365.00

If not included in line 4:

5.

4a. Real estate taxes


4b. Property, homeowners, or renters insurance
4c. Home maintenance, repair, and upkeep expenses
4d. Homeowners association or condominium dues
Additional mortgage payments for your residence, such as home equity loans

Official Form B 6J

Schedule J: Your Expenses

4a.
4b.
4c.
4d.
5.

$
$
$
$
$

0.00
0.00
0.00
200.00
0.00

page 1

Case 14-19469
Debtor 1
6.

7.
8.
9.
10.
11.
12.
13.
14.
15.

16.
17.

18.
19.
20.

21.

Doc 36

Filed 01/13/15

Kristina L Roberts

Page 7 of 8

Case number (if known)

Utilities:
6a. Electricity, heat, natural gas
6a. $
6b. Water, sewer, garbage collection
6b. $
6c. Telephone, cell phone, Internet, satellite, and cable services
6c. $
6d. Other. Specify:
6d. $
Food and housekeeping supplies
7. $
Childcare and childrens education costs
8. $
Clothing, laundry, and dry cleaning
9. $
Personal care products and services
10. $
Medical and dental expenses
11. $
Transportation. Include gas, maintenance, bus or train fare.
12. $
Do not include car payments.
Entertainment, clubs, recreation, newspapers, magazines, and books
13. $
Charitable contributions and religious donations
14. $
Insurance.
Do not include insurance deducted from your pay or included in lines 4 or 20.
15a. Life insurance
15a. $
15b. Health insurance
15b. $
15c. Vehicle insurance
15c. $
15d. Other insurance. Specify:
15d. $
Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20.
Specify:
16. $
Installment or lease payments:
17a. Car payments for Vehicle 1
17a. $
17b. Car payments for Vehicle 2
17b. $
17c. Other. Specify:
17c. $
17d. Other. Specify:
17d. $
Your payments of alimony, maintenance, and support that you did not report as
18. $
deducted from your pay on line 5, Schedule I, Your Income (Official Form 6I).
Other payments you make to support others who do not live with you.
$
Specify:
19.
Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income.
20a. Mortgages on other property
20a. $
20b. Real estate taxes
20b. $
20c. Property, homeowners, or renters insurance
20c. $
20d. Maintenance, repair, and upkeep expenses
20d. $
20e. Homeowners association or condominium dues
20e. $
Other: Specify:
21. +$

22. Your monthly expenses. Add lines 4 through 21.


The result is your monthly expenses.
23. Calculate your monthly net income.
23a. Copy line 12 (your combined monthly income) from Schedule I.
23b. Copy your monthly expenses from line 22 above.
23c. Subtract your monthly expenses from your monthly income.
The result is your monthly net income.

22.

1/13/15 3:41PM

14-19469
350.00
50.00
200.00
0.00
280.00
200.00
150.00
0.00
0.00
200.00
50.00
0.00
0.00
0.00
110.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5,155.00

23a. $
23b. -$

16,828.00
5,155.00

23c. $

11,673.00

24. Do you expect an increase or decrease in your expenses within the year after you file this form?
For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a
modification to the terms of your mortgage?

No.
Yes.
Explain:

Official Form B 6J

Schedule J: Your Expenses

page 2

Case 14-19469

Doc 36

Filed 01/13/15

Page 8 of 8

1/13/15 3:41PM

B6 Declaration (Official Form 6 - Declaration). (12/07)

United States Bankruptcy Court


District of Maryland
In re

Kristina L Roberts
Debtor(s)

Case No.
Chapter

14-19469
7

DECLARATION CONCERNING DEBTOR'S SCHEDULES - AMENDED


DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of
sheets, and that they are true and correct to the best of my knowledge, information, and belief.

Date January 13, 2015

Signature

17

/s/ Kristina L Roberts


Kristina L Roberts

Debtor
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.
18 U.S.C. 152 and 3571.

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